Interventional Management for Cancer Pain

Cope, Doris K.; Zhao, Zirong

doi:10.1007/s11916-011-0206-2

Cited by 13 publications

(15 citation statements)

References 36 publications

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“…It has been estimated that by 2030, there will be about 21.4 million new cancer cases annually, and approximately 13.3 million cancer patients expected to be die from the disease [31]. Pain related to cancer is a common problem that can occur among patients who are having active cancer treatment [47].This can be a result of some complications following treatment of cancer, which can be physical or psychological symptoms [21,73]. The prevalence of cancer pain can be associated with the stage of disease and the location of cancer [36,41].…”

Section: Introductionmentioning

confidence: 99%

Managing Pain in People with Cancer—a Systematic Review of the Attitudes and Knowledge of Professionals, Patients, Caregivers and Public

et al. 2019

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Cancer pain is a common symptom experienced by patients, caused either by the disease or its treatment. Morphine remains the most effective and recommended treatment for cancer pain. However, cancer patients still do not receive appropriate management for their pain, and under-treatment is common. Lack of knowledge and negative attitudes towards cancer pain and analgesia among professionals, patients and family caregivers are reported as one of the most common barriers to effective cancer pain management (CPM). To systematically review research on the nature and impact of attitudes and knowledge towards CPM, a systematic literature search of 6 databases (the Cochrane library, MEDLINE, PsycINFO, CINAHL, Web of Science and EMBASE) was undertaken in July 2018. Additionally, hand-searching of Google, Google Scholar and reference lists was conducted. The inclusion criteria were adult (18-65 years of age), studies which included attitudes and knowledge towards CPM, studies written in English, published literature only and cross-sectional design. Included studies were critically appraised by two researchers independently using the Joanna Briggs Institute Analytical Cross Sectional Studies Assessment (JBI-ACSSA). A total of 36 studies met the inclusion criteria. The main finding was that among professionals, patients, caregivers and the public there were similar attitudinal barriers to effective CPM. The most commonly cited barriers were fear of drug addiction, tolerance of medication and side effects of opioids. We also found differences between professional groups (physicians versus nurses) and between different countries based on their potential exposure to palliative care training and services. There are still barriers to effective CPM, which might result in unrelieved cancer pain. Therefore, more educational programmes and training for professionals on CPM are needed. Furthermore, patients, caregivers, and the public need more general awareness and adequate level of knowledge about CPM.

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Section: Introductionmentioning

confidence: 99%

Managing Pain in People with Cancer—a Systematic Review of the Attitudes and Knowledge of Professionals, Patients, Caregivers and Public

et al. 2019

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“…Nörolitik bloklar ve lokal anesteziklerin de eklenmesiyle epidural/int-ratekal kateter/port/pompa sistemleri kullanılarak opioid dozlarında anlamlı azalma ile birlikte daha iyi analjezik etkinlik ve daha iyi yaşam kalitesi sağlana-bilmektedir. [22][23][24][25][26][27] Literatürde kanser hastalarına %8-11 oranında invazif girişim gereksinimi olabileceği, ancak uygun girişimlerin yapılabileceği merkezlerin olmaması veya hastaların bu merkezlere yönlendiril-mesinde çok geç kalındığı bildirilmektedir. [28,29] Terminal dönem kanser hastalarında farmakolojik ve invazif girişimlerin yanısıra ağrı palyasyonunda etkinliği gösterilmiş rehabilitasyon, [30][31][32] psikososyal, [33,34] ve manevi destek [35] gibi tamamlayıcı tedaviler de kullanılmalıdır.…”

Section: Discussionunclassified

The Management of Pain and Opioid Use for Cancer Patients at Palliative Care Clinic

Şenel¹

2016

Agri

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ÖzetAmaç: Ağrı, palyatif bakım kliniklerinde kanser hastalarının yaşam kalitesini belirgin olarak etkileyen önemli semptomlardan biridir. Gelişmekte olan ülkelerde opioidlere ulaşılabilirlikteki güçlükler ve iyi organize edilmiş palyatif bakım merkezlerinin azlığı ağrı tedavisinin yetersiz olmasına neden olmaktadır.Türkiye, kişi başına düşen opioid tüketiminin istatistiksel olarak yetersiz olduğu ülkelerden biridir. 2010 yılında kişi başına düşen opioid miktarı 14.31 mg morfin eşdeğeri olup, opioid analjezik tüke-timinin yeterliliği %7 olarak bulunmuştur. Bu çalışmada palyatif bakım kliniğinde yatan hastalarda opioid kullanımı araştırıldı. Gereç ve Yöntem: 2014 yılında, palyatif bakım kliniğimizde palyatif bakım verilen 418 kanser hastasının verileri retrospektif olarak değerlendirildi. Bulgular: Hastaların 183'ü (%44) kadın, 235'i (%56) erkek olarak bulundu. Yaşlar 18 ve 93 yıl arasında değişmekteydi (61±15). Hastaların %9'una opioid verilmemişti, %26'sı zayıf opioid, %65'i güçlü opioid kullanmaktaydı. Hasta başına düşen günlük oral morfin eşdeğer dozu 172±58 mg (40-328) olarak bulundu. Opioid kullanımı için endikasyonlar %61 oranında ağrı, %19 oranında dispne ve %20 oranında ise hem dispne hem de ağrıydı. Sonuç: Ülkemizde opioid çeşitleri kısıtlı olmakla beraber tüm sağlık personelinin ağrı tedavisi ve opioid kullanımı hakkında eğitimi ile daha etkin ve yeterli ağrı tedavisi sağlanabileceği düşünüldü. Rölatif olarak zayıf opioidlerin yüksek kullanım insidansı, ülkemizde hızlı salınımlı opioidlerin eksikliğiyle ilişkili olabilir.Anahtar sözcükler: Ağrı; kanser hastası; opioid; palyatif bakım. SummaryObjectives: Pain is one of the most important symptoms in palliative care, and has a major impact on the quality of life of cancer patients. In developing countries, difficult access to opioids and the lack of well-established palliative care organizations result in undertreatment of pain. Turkey is one of the countries with statistical evidence of inadequate morphine consumption per capita. In 2010, the adequacy of opioid analgesic consumption was only 7%, based on a per capita consumption of 14.31 mg morphine equivalents. The present study analyzed and described patterns of opioid use among cancer patients in the palliative care clinic. Methods: The data of 418 cancer patients who received palliative care at the palliative care clinic in 2014 were evaluated retrospectively. Results: Of the total, 183 (44%) of the patients studied were female and 235 (56%) were male. Age ranged from 18 to 93 years (61±15 years). No opioids had been prescribed for 9% of patients, 26% of patients were using weak opioids, and 65% were using strong opioids. Daily oral morphine equivalent dosage per patient was 172±58 mg (range: 40-328 mg). Indications for opioid use were pain (61%), dyspnea (19%), and both dyspnea and pain (20%). Conclusion: Although there is a limited variety of opioids currently available in this country, it is thought that a more effective and adequate level of pain management can be obtained through education of he...

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“…96 97 The plexus is located anterior to the aorta and epigastrium and extends several centimeters laterally around the aorta 45 ; multiple different approaches (anterior, posterior, or endoscopically with ultrasound) can be done under fluoroscopy or CT guidance. 98 99 100 20 to 60 mL of ethanol 50 or 100% is commonly used, with some suggesting 25 to 30 mL on each side to ensure coverage of the entire plexus. 101 102 103 104 Developments in cryoablation for this purpose have also shown promise both independently and synergistically with neurolysis, with lower rates of diarrhea as well.…”

Section: Interventional Approaches To Cancer Painmentioning

confidence: 99%

Agents Used for Nerve Blocks and Neurolysis

Majdalany

Lilly

et al. 2022

Semin intervent Radiol

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The recognition of pain and the treatments used for it are vital for all practitioners. Many types of pain can be treated in a locoregional fashion, which has significant implications not just for any individual patient but for society as a whole. These treatments are most effective when performed in a minimally invasive, image-guided fashion. Interventional radiologists should play a central role in providing these lifestyle-limiting treatments. This article describes the medications most typically used for spinal and extra-axial treatments in the management of patients in pain.

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Interventional Management for Cancer Pain

Cited by 13 publications

References 36 publications

Managing Pain in People with Cancer—a Systematic Review of the Attitudes and Knowledge of Professionals, Patients, Caregivers and Public

Managing Pain in People with Cancer—a Systematic Review of the Attitudes and Knowledge of Professionals, Patients, Caregivers and Public

The Management of Pain and Opioid Use for Cancer Patients at Palliative Care Clinic

Agents Used for Nerve Blocks and Neurolysis

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